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NPI Code Detail

MEDICARE: ANANT K SONPATKI MD

MEDICARE: ANANT K SONPATKI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician11791NV
2208M00000XHospitalist Physician11791NV

General Provider Information

NPI Number : 1407877343
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANANT K SONPATKI MD
Provider Business Mailing Address
First Line : 2660 CRIMSON CANYON DR STE 130
Second Line :
City : LAS VEGAS
State : NV
Zip : 89128-0846
Country : US
Telephone Number : 702-453-3799
Fax Number : 702-453-5741
Provider Business Practice Location Address
First Line : 3001 SAINT ROSE PKWY
Second Line :
City : HENDERSON
State : NV
Zip : 89052-3839
Country : US
Telephone Number : 702-453-3799
Fax Number : 702-453-5741
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 10/30/2024

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